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  • Case Manager-DSNP

    Sentara Health 4.9company rating

    Virginia Beach, VA jobs

    City/State Virginia Beach, VA Work Shift First (Days) Sentara Health Plansis hiring an Integrated Nurse Case Manager/RNfor DSNP in Virginia Beach, VA! The position requires both in-person face-to-face assessments and remote telephonic assessments for Dual Special Needs Plan (DSNP) in their homes or facilities in Virginia Beach, VA! Status: Full-time,permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F Location: Applicants must reside in Virginia Beach, VA! Primary responsibilities include: Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures May assist in problem solving with provider, claims or service issues. Education: Bachelors Degree in Nursing preferred Certification/Licensure Registered Nurse (RN) License (Compact or Virginia) REQUIRED Preferred qualifications: 3 years experience in Nursing REQUIRED Case Management experience preferred Discharge planning experience preferred Managed Care or Health Plan experience preferred Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to ********************** and use the following as your Keyword Search: JR-90044 #Indeed Talroo - Nursing Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Virginia Beach, VA, Managed Care, MCO, Health Plan, DSNP, Dual Special Needs Plan Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $34k-58k yearly est. 9d ago
  • Referral Coordinator

    Sentara Health 4.9company rating

    Virginia Beach, VA jobs

    City/State Virginia Beach, VA Work Shift First (Days) Provides a direct link between patients, primary care providers, specialty providers, and insurance companies. Coordinates referral process from primary care providers as well as pre-authorization approvals for drugs and other services as ordered by provider. Medical terminology preferred. Knowledge of Medicare, Medicaid and third party payers. One year of experience with insurance verification/referral processing preferred. Knowledge of EPIC preferred. Proficient in use of computers and excellent organizational skills. Education HS Diploma required Certification/Licensure None required Experience 1 year of health insurance experience required. Keywords: Talroo-Allied Health, Referral Coordinator . We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is:$17.31 - $28.85. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Independence provides quality outpatient services to the surrounding community. The facility includes an ambulance-accessible emergency room that is supported by board-certified physicians. Sentara Independence houses state-of-the-art medical equipment and highly-skilled physicians and staff. Sentara Independence is now an extension of the quality services at Sentara Virginia Beach General Hospital including advanced imaging and physical therapy. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $17.3-28.9 hourly 12d ago
  • Assistant Practice Manager

    Sentara Health 4.9company rating

    Harrisonburg, VA jobs

    City/State Harrisonburg, VA Work Shift First (Days) This position will cover 2 Sentara locations, our Integrative Medicine team and our East Market team. The locations are about 5 minutes apart and flexibility will be key in this role. The Assistant Practice Manager supports daily operations within the practice by providing supervision, performing administrative tasks, and managing functions to create an efficient work environment. Job Description Acts as lead during Practice Manager's absence . Provides supervision and work assignments to staff based on practice needs. Provides guidance regarding employee relations and staffing issues. Processes time ensures success of practice and management by providing overall support. Manages multip l e projects and performs work assignments as needed. Education HS Diploma required Certification/Licensure None required Experience 3 years of clerical experience required Supervisory experience preferred Keywords: Talroo - Allied Health, Assistant Practice Manager Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $44k-60k yearly est. 10d ago
  • Histologist - Anatomic Pathology

    Sentara Health 4.9company rating

    Norfolk, VA jobs

    City/State Norfolk, VA Work Shift Third (Nights) Sentara Norfolk General Hospital is hiring a Histologist to work full time nights in the Anatomic Pathology lab. (2300-0730) Sign on bonus up to $20,000 for qualified candidates! As a Histologist, duties are to perform laboratory procedures and document quality assurance. Education Associates Degree (Preferred) High School Grad or Equivalent (Required) Certification/Licensure American Society of Clinical Pathologists (ASCP) certification American Society of Clinical Pathologists (ASCP) certificationeligible (must obtain certification in 5 years from date of hire) keywords: Talroo-Allied Health, Laboratory Services, histo tech, Histotechnician . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day! Sentara Norfolk General Hospital , located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School. In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women's health, including a state-of-the-art neonatal intensive care unit. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $42k-82k yearly est. 12d ago
  • Clinical Respiratory Specialist

    Sentara Health 4.9company rating

    Hampton, VA jobs

    City/State Hampton, VA Work Shift First (Days) Sentara CarePlex Hospital is seeking a Clinical Respiratory Specialist to join their team in beautiful Hampton, VA!! Responsibilities: Responsible for coordination respiratory educational activities for clinical staff including respiratory practitioners, nursing staff and physicians. Responsible for developing and coordinating staff orientation and competency programs. Accountable for the coordination of multidisciplinary rounding in the critical care areas on mechanically ventilated patients and implementation of ventilator weaning protocols. Sentara CarePlex Hospital Sentara CarePlex Hospital is a 224-bed, acute care hospital, and Certified Primary Stroke Center located in Hampton, Va. Sentara CarePlex Hospital provides care through advanced surgical programs, emergency cardiac intervention, fellowship-trained physicians, and the newly-opened Family Maternity Center . It is also home to the Orthopaedic Hospital at Sentara CarePlex Hospital , the area's first dedicated orthopedic hospital, taking specialized orthopedic care to a new level. Minimum Qualifications: Education Bachelor's Level Degree Experience 5 years Respiratory Care in a critical care setting Certification/Licensure State Respiratory license NBRC RRT BLS required at time of hire. Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth! EOE Keywords: RRT, Respiratory Care Practitioner, RT, Talroo Allied Health Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara CarePlex Hospita l, located in Hampton, VA, is a 224-bed technologically advanced, acute care facility, and Certified Primary Stroke Center. Other features include specialized services in heart and vascular, urologic care, along with advanced diagnostic and surgical capabilities, a hospitalist program, and one of the state's busiest emergency departments. We are also home to the Orthopedic Hospital at Sentara CarePlex Hospital, the area's first dedicated orthopedic hospital. We improve health every day, come be a part of the community. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $41k-71k yearly est. 12d ago
  • Food Service Worker

    Sentara Health 4.9company rating

    Elizabeth City, NC jobs

    City/State Elizabeth City, NC Work Shift Rotating Sentara Albemarle Medical Center is hiring a Food Service Worker. Full-time, Rotating Shifts (Cafeteria is open 5:30am-7:30pm) Education: HS - High School Grad or Equivalent - Experience in lieu of degree/diploma will be accepted. Experience: Cashier, grill cook experience preferred Food Service Workers are essential members of the food services team who offer support to the team and contribute in multiple ways, such as delivering nutritious meals and providing excellent customer service to patients, staff, and visitors. This position entails various responsibilities, including but not limited to preparing and assembling food according to dietary guidelines, safety and customer preferences, maintaining cleanliness in the kitchen and dining areas, washing dishes, working as a cashier, meeting utility needs, and ensuring food safety standards are upheld. As a Food Service Worker with Sentara, you work in the different aspects of delivering food to the patients. Keywords: Food Service, Cafeteria, Kitchen, Nutritional Services, Cashier, Grill Cook, Talroo-Allied Health . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Albemarle Medical Center , located in Elizabeth City, NC, serves northeastern North Carolina with a caring team of approximately 650 employees and 150 medical providers. We think of each other as family, with those bonds extending into our close-knit community and serving as the foundation for our patient care. Our 182-bed facility features 25 specialties including emergency, maternity, orthopedics, medical, and surgical care in addition to our outpatient laboratory, imaging, and comprehensive breast services. In 2022, Sentara broke ground on a new campus, a state-of-the-art 88-bed hospital to replace the current 60-year-old facility on North Road Street. The 135-acre campus, coming out of the ground at Halstead Boulevard Extended and Thunder Road, will be known as the Sentara Albemarle Regional Health Campus. It is projected to cost about $200 million, up from the original estimate of $158 million, due to sharp spikes in costs for building materials and medical equipment. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $29k-33k yearly est. 4d ago
  • Specialty Resource Coordinator

    Sentara Health 4.9company rating

    Norfolk, VA jobs

    City/State Norfolk, VA Work Shift First (Days) Sentara Medical Group Comprehensive Weight Loss Kempsville Office in Norfolk, VA is looking to hire a Full-Time Specialty Resource Coordinator. Hours:Monday-Friday, 8a - 430p, Dayshift. NO NIGHTS, HOLIDAYS or WEEKENDS! This is an in-office role. Overview As aSpecialty Resource Coordinatorwith Sentara, you will provide independent and high-level support within Specialty Services to physicians and APCs in order to maximize provider efficiency, increase patient satisfaction and maximize patient access. Responsible for coordinating and adjusting resources daily for all practice providers covering all practice offices and hospitals. Must understand the complexity of each specialty and expertise of each provider and coordinate cases and consultations autonomously while accounting for the interdependence of various institutions, including offices and hospitals, requiring provider presence. Must be able to interpret complexity of call schedules across various locations and communicate information among multiple interested parties. Must be able to quickly assimilate and adjust resources. Responsible for making decisions that impact all providers on a given day which impacts provider productivity. Superior time management, analytical and problem-solving skills are required in order to prioritize emergencies in a fast-paced environment. Education HS Diploma Experience 3 years secretarial experience required Prefer medical office or medical experience, medical terminology comprehension Prefer scheduling experience Keywords: Specialty Resource Coordinator, SRC, Allied Health, Medical Office, Talroo-Allied Health Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $28k-35k yearly est. 12d ago
  • Echocardiographer, Part-Time

    Sentara Health 4.9company rating

    Virginia Beach, VA jobs

    City/State Virginia Beach, VA Work Shift First (Days) Sentara Princess Anne in Virginia Beach, VA is seeking an Echocardiographer Shift: Part time - 8 hour shifts starting at 8am.Call Required. Unit has 5 rooms for Echos. Echocardiographer will perform Echo and Stress Echo tests, Transesophageal (TEE) Echocardiogram, and Doppler ultrasound. Echocardiographer will work in Cardiac Non-Invasive Lab, EP and Cath Lab, OR, ICU and willalso work with patients at the bedside. Required Education: Bachelor's Level Degree, Associate's Level Degree - CARDIOVASCULAR TECHNOLOGY OR High School Diploma. Echo Tech experience in lieu of education: Yes License and Certifications: Basic Life SupportRequired Adult echocardiography registry (ARDMS, RDCS or RCS) required within 12 months of hire. Other: At least 3 years of echocardiographer experience Benefits: Sentara offers an attractive array of full-time benefits to include: Medical, Dental, Vision plans Paid Time Off, Paid Sick Leave, Paid Parental Leave, and Emergency Caregiver Leave Tuition Reimbursement and Student Loan Paydown programs 401k/403B, 401a plans Career Advancement Opportunities Work Perks For more information about our employee benefits, CLICK HERE! Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day! Sentara prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. Keywords: Talroo-Allied Health, Monster, Echocardiographer, Echo Tech, RDCS, RCS, Cardiovascular Tech, Cardiac Sonographer . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Princess Anne Hospital is a 174-bed acute care hospital that provides quality clinical outcomes, experienced physicians, advanced technology, and a patient-centered approach to care in southern Virginia Beach, as well as neighboring Chesapeake and Northeastern North Carolina communities. As a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, the hospital specializes in orthopedic and spine care, heart, vascular, advanced imaging, gynecological, comprehensive breast care services, and family maternity with a state-of-the-art neonatal intensive care unit. Our facility also is home to Virginia's only Ornish Lifestyle Medicine program. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $55k-68k yearly est. 12d ago
  • Patient Care Representative

    Sentara Health 4.9company rating

    Gordonsville, VA jobs

    City/State Zion Crossroads, VA Work Shift First (Days) Responsible for registration process of new and current patients at the site. Completes check-in and check-out functions to include collection of co-pays, scheduling of appointments, and requests for medical records. Answers telephone calls and greets all patients and visitors with a smile. Must have ability to communicate with insurance carriers and discharge planners in a professional manner. Must be enthusiastic and energetic. Education HS Diploma required Certification/Licensure None required Experience None required Keywords: Talroo-Allied Health, Patient Care Representative Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $30k-34k yearly est. 10d ago
  • Applications Systems Analyst Sr - Epic Beaker

    UNC Health 4.1company rating

    Morrisville, NC jobs

    Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. The responsibilities of this role will focus primarily on supporting our Lab operational teams using Epic Beaker AP/CP and Non-Epic lab systems and workflows, providing innovative solutions to enhance functionality, and troubleshooting issues effectively. Crucial to the position is the ability to work collaboratively with their team to optimize workflows and tools, adhering to our guiding principles and governing structure. You will be expected to become an expert in Epic Beaker AP/CP and Non-Epic Lab workflows. You will be expected to take call on a rotation and respond to requests effectively, updating your team/manager on issues that require escalation. While this position is remote working, you will be expected to go onsite across the state for go-lives and required meetings. A CLS/MT/MLT and Epic certification in Epic Beaker AP/CP will be minimum requirements. The ideal candidate will have CLS/MT/MLT certifications, an understanding of laboratory services workflows, basic Epic Beaker AP/CP knowledge, excellent communication and teamwork skills, and a willingness to learn in an ever-expanding field. Assists other IT teams with selection and provides technical evaluation of products / tools to ensure that the proposed solution adheres to enterprise-wide requirements, adapts to new requirements and changing technologies in order to meet business standardization protocols and objectives. May provide guidance to Applications System Analysts to ensure best practices, standard methodologies and processes are executed. Develops and maintains clear, understandable documentation to describe program development and modification, as well as troubleshooting. Updates system and support documentation as necessary to reflect changes to programs, solutions, reports and interfaces. Evaluates requests and consults in design for new or modified computer programs, solutions, reports and interfaces to determine feasibility and compatibility with current system. Identifies and recommends solution development for larger and complex projects and ensures best practice development. Formulates and develops plans at a high level and documents required steps to achieve stated requirements. Functions as a technical consultant to the health system and maintains high service levels. Updates management, customers and others as appropriate on a timely basis regarding progress on assigned tasks, projects and issues, via written or oral reports Bachelor's degree in Computer Science, Information Systems Management or related field (or equivalent combination of education, training and experience). CLS/MT/MLT and Epic certification in Epic Beaker AP/CP If a Bachelor's degree: Four (4) years of experience with IT systems and/or related operational experience. ● Six (6) years of IT systems and/or related operational experience. ● If a High School diploma or GED: Eight (8) years of IT systems and/or related operational experience. Highly responsive to internal customers. Legal Employer: NCHEALTH Organization Unit: ISD Clinical Systems Work Type: Full Time 00 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Remote Exempt From Overtime: Exempt: Yes d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities.
    $86k-105k yearly est. 1d ago
  • Vascular Lab Technologist- Student Extern

    Sentara Health 4.9company rating

    Norfolk, VA jobs

    City/State Norfolk, VA Work Shift Rotating Sentara Leigh Hospital is hiring a Student Vascular Tech Extern for the Peripheral Lab department. This is a Flexi Day shift position in Norfolk, VA. Hours: Operating hours are from 730am to 530pm Monday to Friday. Shift times can vary and are expected around 4 hours per week minimum based on availability. The Student is a training role designed for a student enrolled in an accredited cardiovascular technology / Sonography programs. Under supervision, the student will assist in and perform selected procedures as appropriate, gaining hands-on clinical experience. Must have completed enough clinical hours in an accredited cardiovascular technology program that the student may use employed hours towards graduation requirements. Key Responsibilities Assist in preparation of patients for sonography procedures (explaining the procedure, positioning, ensuring patient comfort, obtaining patient history) Operate specialized ultrasound equipment under supervision to perform basic echocardiogram studies Assist or act as first assistant during diagnostic and therapeutic vascular related procedures, under physician or registered sonographer guidance Maintain accurate patient records, image data, and documentation as required by the lab and hospital policy Adhere to established protocols for patient safety, infection control, and equipment maintenance Participate in educational activities, seminars, and in-service training to enhance knowledge of cardiac anatomy, physiology, pathology, and echo imaging techniques Education: Currently enrolled in an accredited cardiovascular technology or echocardiography sonography program Have completed sufficient clinical hours so that some work may count toward program graduation requirements High School diploma or equivalent required Certification: BLS (Basic Life Support) certification required Experience: Good communication skills: ability to interact empathetically with patients and work collaboratively with medical team preferred Attention to detail, ability to follow direction and protocols strictly Willingness to learn and adapt in a clinical environment Keywords: Student, Externship, Echo, Cardiovascular Tech, Technologist, Echocardiographer, Echocardiography #Talroo-Allied Health . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Leigh Hospital , located in Norfolk, VA, is a 274-bed acute care facility that opened in 1903 and relocated to its present site in 1977. Our hospital completed a renovation in 2016, including two new patient towers, a beautiful atrium, and a multi-story parking garage. Sentara Leigh Hospital includes a dedicated Orthopedic Hospital providing patients access to a full continuum of orthopedic care, from the preoperative phase and surgery to rehabilitation and home care services. Along with being a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, we also specialize in orthopedic and spine care, heart, vascular, maternity care, and general surgery. We are also home to the region's only 24-hour hyperbaric oxygen program that helps speed up the healing of carbon monoxide poisoning, wounds that won't heal, infections in which tissues are starved for oxygen, airborne chemical exposures, and scuba diving accidents. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $33k-43k yearly est. 12d ago
  • Community Health Worker - Inpatient Case Management

    Sentara Health 4.9company rating

    Suffolk, VA jobs

    City/State Suffolk, VA Work Shift First (Days) Sentara Obici Hospital is hiring a Community Health Worker to join the Inpatient Case Management Team! Community Health Worker - Inpatient Case Management Sentara Louise Obici Hospital - Suffolk, VA ~Full Time& Day Shift~ Monday-Friday, 8:00am-4:30pm 40 hours/week Overview The Community Health Worker works in collaboration with the Continuum Case Manager and other healthcare team members to provide comprehensive and coordinated care. Engages in interventions to improve self-management skills and improve quality of life for patients with chronic and/or complex illness. Provides education and behavior modification strategies and provides social support to patients and families. Acts as a patient advocate and healthcare navigator in assisting with resource allocation and management. Education High School Diploma or Equivalent Valid Driver's VA or NC Driver's License Certification/Licensure No specific certification or licensure requirements Experience Bilingual in English and Spanish (preferred) Experience working in a community-based setting (preferred) Knowledge of medical terminology (preferred) Keywords: Community Health Worker, Family Support, Patient Support, Spanish speaking health care advocate, inpatient case management, CHW, Talroo-Allied Health . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Obici Hospital , a 175-bed state-of-the-art facility, is located on Godwin Boulevard in Suffolk, VA. Our full-service hospital continues a legacy of providing residents of Western Tidewater with high-quality, patient-centered care. As a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, the hospital specializes in orthopedic and spine, heart and vascular, advanced imaging, gynecological and comprehensive breast services, behavioral health, maternity, weight loss surgery, and a heartburn treatment center. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $30k-40k yearly est. 12d ago
  • Cardiovascular Invasive Specialist (RCIS)

    Sentara Health 4.9company rating

    Norfolk, VA jobs

    City/State Norfolk, VA Work Shift First (Days) Sentara Leigh is hiring for a Cardiovascular Invasive Specialist, (RCIS) for the Cath Lab Hours/Shift: Full Time Day position with required call. $15,000 Sign on Bonus available and relocation can be provided! Department/Position Overview: The Cardiovascular Invasive Specialist is a health care professional that, through the utilization of specialized equipment and under the direction of a qualified physician, assists in the performance of cardiac and vascular procedures. Resulting in an accurate diagnosis and/or optimal treatment of congenital or acquired heart disease while maintaining maximum patient safety and comfort. The Cardiovascular Invasive Specialist performs/reviews a baseline patient assessment, evaluates patient response to diagnostic or interventional maneuvers and medications during cardiac catheterization laboratory procedures. Provides patient care and drug administration commonly used in the cardiac catheterization laboratory as requested and under the direction of a qualified physician. The Cardiovascular Invasive Specialist acts as a first assistant during diagnostic and therapeutic catheterization. In this role, you will have the opportunity to work with the following procedures:diagnostic caths, interventions, CTOs, Afib Watchman device, Impella,intra-aortic balloon pump (IABP), TAVR Heart Valve Replacement, Mitra clips, Left/Right heart caths, biopsies, cardioversions, Transesophageal echo, loop recorder implants, etc.This area has five labs and a Hybrid OR. Click here to view our Cath Lab Video: Education: A graduate of a diploma, associate, or baccalaureate academic program in health science (includes, but not limited to, cardiovascular technology, ultrasound, radiologic technology, respiratory therapy, or nursing). One-year related experience required. BLS and RCIS certification required. ACLS will be required within 90 days of hire. Sentara Benefits: Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits click: Benefits - Sentara (sentaracareers.com) Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth! Keywords: RCES, RCIS, Critical Care, Heart, Cardiac, Cath Lab, cardiovascular technologist, Talroo-Allied Health, Monster . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Leigh Hospital , located in Norfolk, VA, is a 274-bed acute care facility that opened in 1903 and relocated to its present site in 1977. Our hospital completed a renovation in 2016, including two new patient towers, a beautiful atrium, and a multi-story parking garage. Sentara Leigh Hospital includes a dedicated Orthopedic Hospital providing patients access to a full continuum of orthopedic care, from the preoperative phase and surgery to rehabilitation and home care services. Along with being a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, we also specialize in orthopedic and spine care, heart, vascular, maternity care, and general surgery. We are also home to the region's only 24-hour hyperbaric oxygen program that helps speed up the healing of carbon monoxide poisoning, wounds that won't heal, infections in which tissues are starved for oxygen, airborne chemical exposures, and scuba diving accidents. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $43k-68k yearly est. 12d ago
  • Manager, Payor Relations (Remote)

    Aeroflow Career 4.4company rating

    Asheville, NC jobs

    Aeroflow Health - Manager, Payor Relations - Southern Region (Remote) Aeroflow Health is made up of creative and talented associates who are transforming patient experience and how consumers receive their healthcare. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest-growing healthcare companies in the country, and are recognized on Inc. 5000's list of fastest-growing companies in the U.S. As Aeroflow has expanded, our need for strong leadership in managed care operations has grown with it. To support our national payer strategy and rapid market expansion, we're splitting the country into two regions-North and South-and adding a new leadership role to oversee the Southern Region. The Opportunity We are currently seeking a Manager, Payor Relations - Southern Region to lead and grow our payer strategy across multiple states. This is more than a traditional management position-it's an opportunity to lead with vision, build scalable systems, and coach a growing team within one of Aeroflow's fastest-moving departments. Your Primary Responsibilities As Manager, Payor Relations - Southern Region, you'll be responsible for: Leading payer contracting and network development strategy across southern states (including Medicaid, Medicare, Commercial, IPAs, TPAs). Managing and developing a high-performing team of three contracting professionals-helping guide, coach, and build up newer team members. Building and maintaining relationships with health plans; leading negotiations, policy escalations, and network development. Driving progress on three core strategic priorities: payer network expansion, payer policy change (working with medical teams), and fee schedule negotiations. Ensuring payer contract data is accurately updated and configured in internal systems. Collaborating with Legal, Compliance, Revenue Cycle, Sales, and Ops to streamline workflows and ensure payer contracts align with operational delivery. Leading and contributing to cross-functional projects with multiple stakeholders; managing priorities with clear communication. Auditing internal processes and coaching team members to ensure compliance, alignment, and continuous improvement. Breakdown of Responsibilities 50% - Coaching and supporting your team on payer expansion, policy changes, and contract negotiation & configuration. 25% - Leading or participating in company-wide payer strategy projects alongside other departments. 25% - Process auditing, refinement, and team development to ensure accuracy, clarity, and effectiveness. Must-Have Experience 5+ years in healthcare operations, network development, or managed care contracting (provider, hospital, or DME experience preferred). Proven experience negotiating contracts with health plans or providers. Demonstrated success managing and developing teams-especially those newer to the industry or function. Experience working with a variety of payer types (Medicaid, Medicare, Commercial, IPAs, TPAs). Strong understanding of claims workflows and payer/provider relationships. Ability to manage escalations, coach team members, and implement scalable processes. Nice-to-Haves Located within 1 hour of a major airport (with strong preference for the Northeast region) Experience and a desire managing cross-functional projects and reporting to multiple stakeholders or leaders. Experience with fee schedule configuration and payer system setup. Familiarity with payer compliance and policy monitoring. Travel Expectations Quarterly travel to Aeroflow's corporate office. What We Look For We're looking for someone who can operate as a player/coach-equally confident mentoring a team and rolling up their sleeves when needed. The ideal candidate is: Process-oriented, with a knack for holding others accountable in a friendly and supportive way. Comfortable navigating ambiguity and shifting priorities. Collaborative and relationship-driven-internally and externally. Energetic, proactive, and able to anticipate needs and take action without waiting to be asked. What Aeroflow Offers Competitive Pay, Health Plans with FSA or HSA options, Dental and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent / 4 weeks leave for non-birthing parent(s), Additional Parental Benefits including fertility stipends and free diapers, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs, and SO MUCH MORE! Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements: Family Forward Certified Great Place to Work Certified Inc. 5000 Best Place to Work award winner HME Excellence Award Sky High Growth Award If you've been looking for a high-impact leadership opportunity with the potential to shape the future of payer strategy at a rapidly growing healthcare company, we want to hear from you. Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. #OSR-1
    $68k-91k yearly est. 51d ago
  • Manager, Nursing and Patient Care Services - NICU

    Sentara Health 4.9company rating

    Harrisonburg, VA jobs

    City/State Harrisonburg, VA Work Shift First (Days) Sentara RMH Medical Center is now hiring an Clinical Manager, Neonatal Intensive Care Unit (NICU). This position will lead obstetrics and neonatal care with an emphasis on intermediate care nursery. Ideal position for a supportive leader ready to make a meaningful impact on mothers, babies, and families. To learn more about the department, visit: What we offer: Award winning unit recognized for outstanding maternity services Potential for annual performance bonus Robust facilities, resources, and support Opportunities for continued career growth Education Bachelors Degree - Nursing (required) OR Master's Degree - Nursing (Preferred) Certification/Licensure Registered Nurse License (Required) Experience 3 years of acute care experience 1 year of Nurse Management experience NICU experience desired Duties/Responsibilities Supervises patient care services staff, ensures excellent patient safety and quality outcomes as well as extraordinary patient/family experience. Responsible for interviewing, hiring, developing and retaining staff with the goal of developing a highly reliable team. Demonstrates effective communication and interpersonal skills to achieve unit and corporate goals. Assists in the development and monitoring of unit budget, coordinates purchasing and payroll processes and serves as a clinical resource to team members. Keywords: NICU, Nurse Manager, #indeed, talroo-nursing, Labor & Delivery . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara RMH Medical Center , a Magnet designated hospital located in Harrisonburg VA, serves a seven-county area with a population of 218,000 residents, employing 2600 locals. The 238-bed community hospital has been serving Harrisonburg, Rockingham County and surrounding areas since 1912, then partnered with the Sentara Health System in May of 2011. Sentara RMH features the RMH Hahn Cancer Center, a state-of-the-art center equipped with the latest cancer fighting technologies available in the nation administrating more than 18,000 cancer treatments. With 1800 delivered babies, 60,000 emergency patients and 21,000 surgical procedures, Sentara has a position for you. We improve health every day, come be a part of the community. Our Caring Workplace Environment •A Caring Commitment serving our community for 100+ years •Free and convenient parking •Collaboration and shared governance •CMS 5-Star and Magnet designated hospital •EAP - 24 x 7 Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $55k-80k yearly est. 13d ago
  • Emergency Department Technician I (Part time)

    Sentara Health 4.9company rating

    Woodbridge, VA jobs

    City/State Woodbridge, VA Work Shift Swing Shift Sentara Northern Virginia Medical Center is hiring a Part Time Emergency Department Technician! ED Tech - Emergency Department Sentara Northern Virginia Medical Center - Woodbridge, VA ~Part Time & Swing shift~ 11:00am-11:00pm 24 hours/week Overview Assists the Physician, Advanced Practitioner, or Nurse in implementing plans of care for emergency/minor emergency care patients. Performs patient procedures and treatments under the supervision of the Physician, Advanced Practitioner, or Nurse. De-escalation and physical intervention training within 15 days of hire. BLS certification within 90 days of hire for all incumbents. New incumbents must have one of the following in addition to the minimum Education : 1. EMT-B with state or national certification at time of hire OR 2. Successful completion of US Military Hospital Corps School, qualified MMAC candidates OR 3. Current student enrolled in clinical program (e.g., RN, LPN, Respiratory, Physical Therapy) having completed at least one semester within the program. Candidates with prior employment in the Sentara ED tech job code in the past two years will also be considered in lieu of the 3 criteria above. Education HS - High School Grad or Equivalent Certification/Licensure Basic Life Support (BLS) - Certification - American Heart Association (AHA) 1. EMT-B with state or national certification at time of hire OR 2. Successful completion of US Military Hospital Corps School, qualified MMAC candidates OR 3. Current student enrolled in clinical program (e.g., RN, LPN, Respiratory, Physical Therapy) having completed at least one semester within the program. Candidates with prior employment in the Sentara ED tech job code in the past two years will also be considered in lieu of the 3 criteria above. Experience Previous clinical experience (preferred) Sentara Northern Virginia Medical Center'sEmergency Departmentis a 37-bed facility that sees a wide range of acute and emergent diagnoses. Recently designated as a Level III Trauma Center, we see a multitude of traumatic injuries that require emergent stabilization. Also a certified Primary Stroke Center, we were recently awarded with the Get With the Guidelines Gold Plus Award for Stroke Care-the highest award a hospital can receive. We pride ourselves on being able to care for anyone and anything that comes through our door. From pediatric to geriatric patients and every age in between-we specialize in respiratory, cardiac, septic, and behavioral health alike. If working in a high-acuity, fast-paced environment along awesome teammates is exciting to you-come join our amazing ED family! Keywords: Talroo-Allied Health, ED, Emergency Department, ED Technician, ED Tech, Paramedic, EMT, clinical, nursing, student, tech . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Northern Virginia Medical Center located in Woodbridge, VA is a 183-bed not-for-profit hospital. We combine the resources of a major health system with the compassionate, personalized care of a community hospital. We offer quiet, private rooms and quality care focused on safety and patient satisfaction. Our clinical services include advanced imaging, cancer services, cardiovascular care, emergency care, lab services, orthopedics, weight loss services and more, all powered through Sentara eCare , a comprehensive electronic medical record system. In addition to our hospital, Sentara Health is enhancing access to healthcare services in Northern Virginia with outpatient and imaging centers in Lake Ridge, Lorton, Springfield and Alexandria, Va. We improve health every day, come be a part of the community. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $27k-32k yearly est. 12d ago
  • Registered Nurse (RN) Unit Coordinator - Intensive Care Unit

    Sentara Health 4.9company rating

    Elizabeth City, NC jobs

    City/State Elizabeth City, NC Work Shift Third (Nights) Sentara Albemarle Medical Center is hiring a Registered Nurse (RN) Unit Coordinator for the Intensive Care Unit (ICU). Elevate your career! Hours/Shift: 36-hours, Nights Education Degree or Diploma in Registered Nursing Bachelor of Science Nursing- BSN Certification/Licensure Registered nursing License (Required) BLS required within 90 days of hire Experience 18-months of RN experience is required RN Unit Coordinators demonstrate proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (Gold Standard) customer service. Join Our ICU Family - Where Your Voice Matters and Your Growth Matters More! Looking for more than just a job? Come be part of our 10-bed Medical-Surgical ICU, a close-knit, high-performing team that feels more like family than coworkers. Here, you're not just filling a shift - you're making a difference. We believe in open communication, shared decision-making, and amplifying every voice on the team. Whether you're a seasoned nurse or just starting your critical care journey, your ideas, input, and experiences are valued every day. You'll care for a diverse range of medical and surgical patients, sharpening your critical thinking skills in an environment that encourages learning, mentorship, and professional growth. From expanding your clinical skills to pursuing leadership roles, we're here to support your career goals every step of the way. We are proud to share that we recently received Magnet accreditation with distinction, reflecting our commitment to nursing excellence and quality patient outcomes. Join us and thrive in a place where your voice is heard, your growth is supported, and your team feels like home! Keywords: Registered Nurse, RN, ICU, Intensive Care, Critical Care, SAMC, Sentara Albemarle, Unit Coordinator, Charge Nurse, Leadership, Management, BSN, Talroo-Nursing . Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development • Pet Insurance • Legal Resources Plan • Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Sentara Albemarle Medical Center , located in Elizabeth City, NC, serves northeastern North Carolina with a caring team of approximately 650 employees and 150 medical providers. We think of each other as family, with those bonds extending into our close-knit community and serving as the foundation for our patient care. Our 182-bed facility features 25 specialties including emergency, maternity, orthopedics, medical, and surgical care in addition to our outpatient laboratory, imaging, and comprehensive breast services. In 2022, Sentara broke ground on a new campus, a state-of-the-art 88-bed hospital to replace the current 60-year-old facility on North Road Street. The 135-acre campus, coming out of the ground at Halstead Boulevard Extended and Thunder Road, will be known as the Sentara Albemarle Regional Health Campus. It is projected to cost about $200 million, up from the original estimate of $158 million, due to sharp spikes in costs for building materials and medical equipment. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $28k-33k yearly est. 14d ago
  • I/DD Care Manager, QP (Gaston/Cleveland/Rutherford NC)-Mobile

    Partners Behavioral Health Management 4.3company rating

    Gastonia, NC jobs

    which will work primarily out in the assigned communities.** Competitive Compensation & Benefits Package! eligible for - Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Company paid life and disability insurance Wellness Programs Public Service Loan Forgiveness Qualifying Employer See attachment for additional details. Location: Available for Gaston, Cleveland, Rutherford NC locations; Mobile/Remote position Projected Hiring Range: Depending on Experience Closing Date: Open Until Filled Primary Purpose of Position: The Intellectual and Developmental Disabilities (I/DD) Care Manager is responsible for providing Tailored Care Management and/or care coordination to members/recipients with I/DD to help secure and coordinate a variety of physical health, developmental disability, behavioral health and long-term services and support (LTSS) services. The I/DD Care Manager actively engages with members/ recipients through comprehensive assessment, care planning, health promotion, and comprehensive transitional care. Tailored Care Management is comprehensive and longitudinal for members with Medicaid coverage. Recipients with no Medicaid receive Tailored Care Management based on specified triggers and for a duration not to exceed ninety (90) days. Travel is an essential function of this position. Role and Responsibilities: Duties of the I/DD Care Manager include, but are not limited to, the following: Comprehensive Care Management Provide assessment and care management services aimed at the integration of primary, behavioral and specialty health care and community support services, using a comprehensive person-centered care plan which addresses all clinical and non-clinical needs and promotes wellness and management of chronic conditions in pursuit of optimal health outcomes Complete a care management comprehensive assessment within required timelines and update as needed Develop a comprehensive Individual Support Plan and update as needed Provide diversion activities to support community tenure Care Coordination Facilitate access to and the monitoring of services identified in the Individual Support Plan to manage chronic conditions for optimal health outcomes and to promote wellness. Facilitate communication and regularly scheduled interdisciplinary team meetings to review care plans and assess progress. Monitors services for compliance with state standards and Medicaid regulations, including home and community-based standards for 1915i services Verify that services are delivered as outlined in ISP and addresses any deviations in services Individual and Family Supports Provide education and guidance on self-management and self-advocacy Provide information about rights, protections, and responsibilities, including the right to change providers, the grievance and complaint resolution process, and fair hearing processes Educate members and recipients about the Registry of Unmet Needs, with referral as indicated Utilize person centered planning methods/strategies to gather information and to get to know the members supported Ensure that members/legally responsible persons are informed of services available, service options available, processes (e.g. requirements for specific service), etc. Promote prevention and health through education on the member's chronic conditions and/or disabilities for the member, family members, and their caregivers/support members Promote culturally competent services and supports. Health Promotion Educate and engage the member/recipient and caregivers in making decisions that promote his/her maximum independent living skills, good health, pro-active management of chronic conditions, early identification of risk factors, and appropriate screening for emerging health problems Closely coordinate care with the member's I/DD, behavioral health, and physical health providers, including in person visits to Emergency Departments and Skilled Nursing Facilities Support medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment Transitional Care Management Proactive and intentional care management when the member/recipient is experiencing care transitions (including, but not limited to transitions related to hospitalization, nursing facility, rehabilitation facility, community-based group home, etc.), significant life changes including, but not limited to loss of primary caregiver, transition from school services, etc.) or when a member/recipient is transitioning between health plans. Create and implement a 90-day transition plan as an amendment to the ISP that outlines how services will be maintained or accessed and includes a process to transition to the new care setting and integrate into his or her community. Referral to Community/Social Supports Provide information and assistance in referring members/recipients to community-based resources and social support services, regardless of funding source, which can meet identified needs Provide comprehensive assistance securing health-related services, including assistance with initial application and renewal with filling out and submitting applications and gathering and submitting required documentation, including in-person assistance when it is the most efficient and effective approach. Time-Limited Care Coordination for Member Excluded from Receiving Tailored Care Management Assist member who are receiving care management from other entities (e.g., CCNC, CAP/C, CAP/DA) with referral/linkage to I/DD services available through the Tailored Plan or Medicaid Direct contract Provide transitional care management Participate in weekly conference with CCNC, as needed, to share information on high-risk members, including members with a behavioral health transitional care need and members with special health care needs, who are receiving care coordination and care management from both entities or require referrals Coordinate with each member's care manager to the extent the member is engaged in care management through another entity (e.g. PCCM Vendor, Skilled Nursing Facility, CAP/C or CAP/DA, etc.) Share the results of the any assessments completed, the member's person-centered plan, and the member's Care Plan (to the extent one exists) with entity providing care management Notify the member's care manager that the member is undergoing a transition and engage the member's assigned care manager to assist with transitioning the member into the community, including in the development of the ninety (90) day post-discharge transition plan to the extent there are items within the care manager's scope. With the assistance of the care management entity, encouraging, supporting, and facilitating communication between primary care providers and the Partners network providers regarding medication management, shared roles in care transitions and ongoing care, the exchange of clinically relevant information, annual exams, coordination of services, case consultation, and problem-solving as well as identification of a medical home for persons determined to have need. Other: Assist state-funded recipients apply for Medicaid Coordinate Medicaid deductibles, as applicable, with the member/legally responsible person and provider(s) Proactively monitor documentation/billing to ensure that issues/errors are resolved as quickly as possible Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency and Medicaid requirements Maintain medical record compliance/quality, as demonstrated by ≥90% compliance on Qualitative Record Reviews Recognizes and reports critical incidents Promotes member satisfaction through ongoing communication and timely follow-up on any concerns/issues Collaborates with providers to ensure accurate/timely submission of authorization requests for all Tailor Plan-funded services/supports Document within the grievance system any expression of dissatisfaction/concern expressed by member/recipient supported or others on behalf of the member/recipient supported Ensure strong leadership to care team for each member/recipient, including effectively communicating with and providing direction to Care Management extenders Knowledge, Skills, and Abilities: Demonstrated knowledge of the assessment and treatment of I/DD needs, with or without co-occurring physical health, mental health or substance use disorder needs Ability to develop strong, person-centered plans Exceptional interpersonal skills, highly effective communication ability, and the propensity to make prompt independent decisions based upon relevant facts and established processes Demonstrated ability to collaborate and communicate effectively in team environment Ability to maintain effective and professional relationships with member/recipients, family members and other members of the care team Problem solving, negotiation and conflict resolution skills Excellent computer skills including proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.) Detail oriented Ability to learn and understand legal, waiver and program practices/requirements and apply this knowledge in problem-solving and responding to questions/inquiries Ability to independently organize multiple tasks and priorities and to effectively complete duties within assigned timeframes Ability to manage and uphold integrity and confidentiality of sensitive data Sensitivity and knowledge of different cultures, ethnicities, spiritual beliefs and sexual orientation. Education/Experience Required: Bachelor's degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area and two (2) years of full-time experience with I/DD population OR Bachelor's degree in a field other than human services and four (4) years of full-time experience with I/DD population OR Master's degree in human services and one (1) year of full-time experience with I/DD population OR Licensure as a registered nurse (RN) and four (4) years of full-time accumulated experience with I/DD AND Two (2) years of prior Long-Term Services and Supports (LTSS)and/or Home and Community Based Services (HCBS) coordination, care delivery monitoring and care management experience. This experience may be concurrent with the two years of experience working with I/DD population described above AND Must reside in North Carolina Must have ability to travel regularly as needed to perform job duties Education/Experience Preferred: Experience working with member/recipients with co-occurring physical health and/or behavioral health needs preferred. Licensure/Certification Requirements: If a Registered Nurse (RN), must be licensed in North Carolina.
    $69k-82k yearly est. Auto-Apply 60d+ ago
  • Financial Services Consultant (Hybrid - Virginia)

    Maximus, Inc. 4.3company rating

    Richmond, VA jobs

    Description & Requirements Maximus is currently hiring Financial Services Consultants to support our U.S. Services team. This is a hybrid position that requires you to work both onsite at our North Chesterfield, VA office and remotely. The Financial Services Consultant will be responsible for supporting state and local government clients through insightful financial analysis and project support. At Maximus, we offer a wide range of benefits: * Work/Life Balance Support - Flexibility tailored to your needs! * Competitive Compensation - Bonuses based on performance included! * Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. * Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. * Paid Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage. * Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). * Recognition Platform - Acknowledge and appreciate outstanding employee contributions. * Tuition Reimbursement - Invest in your ongoing education and development. * Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. * Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. * Professional Development Opportunities: Participate in training programs, workshops, and conferences. Essential Duties and Responsibilities: * Deliver consulting project activities for medium to long-term engagements requiring varied interpersonal and technical skills. * Maintain technical responsibilities, which include problem identification, implementation, testing, client training, and solution deployment. * Analyze complex data and identify patterns, recommend actions, and measure outcomes. * Conduct market research and understand and apply implications of Health and Human market trends. * Create system functional specifications from business requirements. * Identify additional product and service opportunities in customer organization. * Lead and support consulting projects from planning through implementation. * Analyze complex data to identify trends, develop insights, and recommend solutions. * Conduct market research and apply findings to client strategies. * Translate business requirements into functional system specifications. * Provide client training, support, and solution deployment. * Collaborate with clients and internal teams to ensure successful project outcomes. * Identify opportunities for additional products, services, or process improvements. Minimum Requirements * Bachelor's degree with 3-5 years of experience consulting within designated function. * Able to develop solutions to complex problems which require regular use of ingenuity and innovation. * Bachelor's degree in Business, Information Technology, Data Analytics, or a related field required. Master's degree preferred. * 3+ years of experience in consulting, data analysis, or solution implementation is preferred * Strong analytical and problem-solving skills with the ability to interpret complex data sets is preferred. * Experience with system design, business requirements gathering, and functional documentation is preferred. * Excellent interpersonal and communication skills, with the ability to build relationships at all organizational levels is preferred. * Proficiency with analytical and project management tools (e.g., Excel, SQL, Power BI, or similar) is required. * Demonstrated ability to manage multiple projects and meet deadlines in a fast-paced environment is preferred. * Must be willing and able to work both onsite at our North Chesterfield, VA offices as well as remotely. Home Office Requirements: * Internet speed of 20mbps or higher required (you can test this by going to ******************* * Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router. * Must currently and permanently reside in the Continental US. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
    $52k-78k yearly est. Easy Apply 3d ago
  • Revenue Cycle Net Revenue Manager

    Inova Health System 4.5company rating

    Virginia jobs

    Inova Health is looking for a dedicated Net Revenue Manager Lead to join their Revenue Cycle - Financial team. This remote role will be full-time day shift from Monday - Friday, 9:00 a.m. - 5:30 p.m. We are seeking a Revenue Cycle Net Revenue Manager with a strong background in finance and analytics to drive revenue cycle performance and net revenue optimization. The ideal candidate brings advanced Excel skills, proven experience in financial modeling and reporting, and the ability to translate complex data into actionable insights that support strategy, process improvement, and payer contract success. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules Revenue Cycle Net Revenue Manager Job Responsibilities: Creates and enforces work standards, quality measures, and process improvements that are consistent with the organization's goals and objectives. Ensures regulatory compliance with Medicare and state authorities, Generally Accepted Accounting Principles and any external governing authority. Assures claims are reviewed, corrections are identified/made or resolutions are initiated while ensuring all follow-up claims/actions are submitted via the appropriate medium and with all required attachments. Maintains knowledge of government regulations, payer requirements, UB-04 standards, information system functionality (i.e. Hospital, clearinghouse, payer), hospital policies/procedures and departmental SRGs. Evaluates the impact of new or upgrades to existing systems/tools while performing testing of system changes, providing technical/operational support during implementation and evaluating the success of new systems/tools. Ensures timely/accurate billing, collection, posting, servicing, and/or auditing of the $1.5 billion receivable stream. Ensures follow-up is completed utilizing TRAC work lists, QMS, or other systems/reports according to department policy/procedure, SRG, or industry best practice standards. Demonstrates a working knowledge of CareMedic systems, DSS electronic billing systems, Syntellect IVR systems, HealthQuest 2000, QMS, and Premis electronic billing systems. Provides feedback and training to supervisors and staff. Provides resolution for pended (WIP backlog) claims within allowable timeframes (as defined for appropriate deficiency) and/or ensures billed claims receive timely and appropriate follow up based on established protocol or SRG. Oversees assigned department or functional area to ensure it is performing effectively, which may include but not limited to, hiring and training team members, creating and implementing business strategies, managing performance of team members, and delegating tasks. Minimum Qualifications: Experience: Four years of experience in Revenue Cycle, Clinic Operations, Credentialing, Denials Management and/or HB/PB Operation roles; Two years in leadership roles Education: Bachelors Degree or lesser educational degree with four additional years of experience Preferred Qualifications: Bachelor's degree in Accounting, Finance, or related field preferred; advanced degree or certification a plus. Strong proficiency in Microsoft Excel (advanced formulas, pivot tables, financial modeling, dashboards). Proven experience in financial analytics, reporting, budgeting/forecasting, and revenue cycle performance metrics (Net Revenue, AR, Denials, Cash). Demonstrated ability to support managed care contract strategy, including payer trend analysis, financial modeling, and negotiation support. Skilled in process improvement, workflow streamlining, and ensuring accuracy, timeliness, and completeness of financial data. Strong communication and presentation skills with experience translating complex data into actionable insights for leadership. Remote Eligibility: This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV
    $73k-101k yearly est. Auto-Apply 60d+ ago

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